|
KMID : 0438219730100010453
|
|
Korea University Medical Journal
1973 Volume.10 No. 1 p.453 ~ p.459
|
|
|
Statistical Study on Vulvar Injury in Gynecologic Field
|
|
|
|
|
Abstract
|
|
|
A statistical study was made on 22 cases of vulvar injury except for those sustained during vaginal delivery, with the review of particular references of medical literature, which were treated among 1464 cases of in-patients and which were divided into the injury due to coitus and by trauma.
The results obtained were as follows;
1. The incidence of vulvar injury was 1.5 per cent.
2. The cases composed of 59.1 per cent of the injury due to coitus and 40.9 per cent by trauma.
3. The fall due to carelessness, 55.6 per cent, was the most frequent causative factor of vulvar injury by trauma. The predisposing factors of vulvar injury resulting from coitus were 38.5 per cent of vigorous coitus, 23.1 per cent of drunkenness, 23.1 per cent of rape and 15.4 per cent of insertion of foreign body.
4. The largest age distribution of vulvar injury was age group between 20 and 29.
5. In the relationship between gravidity and vulvar injury, the nulligravida showed the highest incidence with 55.6 per cent of patients in injury by trauma and 69.2 per cent due to coitus.
6. In the injury by trauma, 77.8 per cent of patients involved the labia major as the most common location. In the location of injury due to ciotus, 46.15 per cent of patients involved the lower vaginal wall and 46.15 per cent right posterior fornix.
7. The symptoms of vulvar injury were the genital pain, genital bleeding and shock, but hematoma appeared 77.8 per cent of patients in injury by trauma, and 7.7 per cent of patients in injury due to coitus.
8. In the management of vulvar injury by trauma, the incision and drainage was performed in 66.7 per cent of patients and the suture 33.3 per cent, and 33.3 per cent was given the blood transfusion. Although, in the management of injury due to coitus, the suture was performed in 84.6 per cent of patients the incision and drainage 15.4 per cent, and 76.9 per cent was given the blood transfusion.
9. In the duration of admission of vulvar injury, 1 to 6 hospital days was 55.6 per cent of patient in injury by trauma and 69.2 per cent due to coitus.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|